Nishant Ranawat, MD
Vascular Neurology · Shenandoah, TXNPI 1366658627
Payments from drug & device makers
What this record shows
9 manufacturers reported payments, led by Penumbra, Inc. at 48.4% of the total. Reporting peaked in 2019 at $4,119 and has fallen 99.1% since, to $37 in 2024.
Across 54 payments — averaging $113.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$3K
- Medtronic$1K
- Siemens Medical Solutions USA, Inc.$1K
- Philips North America LLC$294
- Stryker$207
- AstraZeneca$98
- plus $146 from 3 others
What the payments were for
- Travel & lodging$3,51957%
- Food & beverage$2,60843%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Penumbra, Inc. | 19 | $2,964 |
| Medtronic | 18 | $1,214 |
| Siemens Medical Solutions USA, Inc. | 6 | $1,205 |
| Philips North America LLC | 3 | $294 |
| Stryker | 3 | $207 |
| AstraZeneca | 1 | $98 |
| Microvention, Inc. | 2 | $80 |
| Qapel Medical Inc | 1 | $37 |
| AbbVie | 1 | $30 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Penumbra System$2,943
- ARTIS icono biplane$1,143
- Pipeline$633
- Penumbra Jet 7$259
- Penumbra SMART Coil$259
- Azurion 7 B20$217
- Penumbra Coil 400$150
- ATLAS$116
How this compares
$6,127 in reported general payments places this provider in the 70th percentile of 76 vascular neurology providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Telmisartan | 14 | $164 |
| Atorvastatin Calcium | 11 | $68 |
Paid to pharmacies, not to this prescriber.
Other vascular neurology in Shenandoah
- Nhu BruceShenandoah$10K
- Shyam PanchalShenandoah$780
- Keval ShahShenandoah$719
- Ameer HassanHarlingen$1M
- John VolpiHouston$407K
- Lee BirnbaumSan Antonio$195K
- Amrou SarrajHouston$182K
- Sunil ShethHouston$54K
- Steven WarachAustin$32K
- Jefferson MileyAustin$28K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.